Provider Demographics
NPI:1215168927
Name:MORRIS, DONALD PAUL (DC, DABCO)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:PAUL
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC, DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9031 SW 48TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5955
Mailing Address - Country:US
Mailing Address - Phone:786-339-1993
Mailing Address - Fax:888-670-4081
Practice Address - Street 1:10201 HAMMOCKS BLVD
Practice Address - Street 2:STE 152
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4712
Practice Address - Country:US
Practice Address - Phone:786-339-1993
Practice Address - Fax:888-670-4081
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3724111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFIN 650879887Medicaid